Individual provider · Type 1 NPI
Melanie Creppel Bourgeois, FNP
Family Nurse Practitioner · Kingsport, TN
NPI number
1497220214
Active
Practice location
4606 Sundown Dr
Kingsport, TN 37664-6913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APN000024525 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1497220214
Melanie Creppel Bourgeois, FNP's National Provider Identifier is 1497220214, issued on Oct 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kingsport, TN. The record was last updated on Oct 8, 2018.